Can my personal health information be used and disclosed without any notice to me or without my informed consent at the time of treatment

Yes.

The Amended HIPAA Privacy Rule states only that you must receive a Privacy Notice telling you how your personal health information will be used and disclosed. Section 164.520(c) (2) (i) (A).
Privacy Notices are often mistaken for consent forms, but they are simply notices telling you what will happen to your medical records.

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About WINS

The main goal of the organization is to promote a cooperative and supportive environment among women practicing neurosurgery, including those in training to become neurosurgeons. As the group has grown, it has become an international organization with members in Asia, Europe and Africa.